Ageing Flashcards

(23 cards)

1
Q

What are some key physiological changes in normal ageing?

A

Lowered hormone levels, immune dysregulation, skin integrity loss, decreased bone density/muscle mass, stiffening of heart/arteries, declining kidney and lung function, neurological decline, and GI changes.

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2
Q

What factors contribute to accelerated ageing?

A

Poor diet, lack of exercise, stress, low socioeconomic status, diseases, medications, smoking, and genetic predisposition.

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3
Q

What role do telomeres play in ageing?

A

Telomeres shorten with each cell division; when too short, cells become senescent or die, contributing to ageing.

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4
Q

What lifestyle factors accelerate telomere shortening?

A

Smoking, poor diet, and stress accelerate telomere shortening, increasing disease risk.

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5
Q

What characterizes mature years (energetically) nutritionally?

A

Dryness—requiring soups, stews, smoothies, mucilaginous foods, and herbal teas to support hydration and digestion.

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6
Q

What characterizes old age (energetically) nutritionally?

A

Coldness—needing warm, cooked, mildly spiced foods to improve circulation and digestion.

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7
Q

What is sarcopenia?

A

Age-related loss of muscle mass, strength, and function.

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8
Q

What contributes to sarcopenia?

A

Sedentary lifestyle, poor nutrition, hormonal changes, inflammation, and chronic disease.

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9
Q

How does ageing affect energy requirements?

A

Loss of lean muscle lowers metabolic rate; fat mass may increase, raising disease risk.

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10
Q

What causes malnutrition in the elderly?

A

Reduced intake due to altered taste, medications, depression, social isolation, dysphagia, and chronic illness.

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11
Q

How does poor oral health affect nutrition in ageing?

A

Dentures, infections, and dry mouth impair chewing, swallowing, taste, and appetite.

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12
Q

What factors affect food choices in elderly people?

A

Physiological (vision loss, tremors), psychological (depression, isolation), economic (low income), and appetite regulation changes.

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13
Q

What GI changes affect nutrient absorption in ageing?

A

Reduced intrinsic factor and stomach acid impair B12 and iron absorption; increased SIBO risk; slower gastric motility.

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14
Q

What cardiovascular changes occur with ageing?

A

Arterial stiffening, higher systolic BP, decreased max heart rate, and left ventricular hypertrophy.

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15
Q

What renal changes happen in ageing?

A

Kidney cortex shrinks, nephrosclerosis occurs, and GFR declines.

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16
Q

What neurological changes accompany ageing?

A

Cognitive decline, coordination issues, depression, and B vitamin deficiencies affecting cognition.

17
Q

How does immune function change with age?

A

Reduced T-cell function, increased infection and cancer risk, worsened by malnutrition.

18
Q

How does ageing affect bones and cartilage?

A

Bone mineral density declines, increasing osteoporosis risk; cartilage stiffens and loses water.

19
Q

What helps maintain bone health in ageing?

A

Weight-bearing exercise and adequate vitamin C intake.

20
Q

Why is NAD+ important in ageing?

A

Essential for cellular function; its depletion is linked to age-related diseases.

21
Q

How can NAD+ levels be supported?

A

Exercise, sleep, fasting/calorie restriction, and nutrient-rich diets.

22
Q

What roles does melatonin play in ageing?

A

Regulates sleep, acts as antioxidant, supports immune function, and may protect against cancer.

23
Q

How can melatonin levels be optimized?

A

Sunlight exposure by day, darkness at night, avoiding artificial light/stimulants, and consuming melatonin-rich foods.